重新思考低风险头部和部手术的术后抗生素预防方法
Avery Nelson1, Jordan W Baur2, Alison Lew2
1Section of Otolaryngology-Head and Neck Surgery, Department of Surgery, University of Chicago Medicine, Chicago, IL, USA.
The Annals of otology, rhinology, and laryngology
|January 6, 2024
概括
许多头部和部手术不需要抗生素预防. 这项研究发现,在29%的低风险手术中,不必要使用抗生素,对手术部位感染没有影响.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 传染性疾病 传染性疾病
- 手术预防手术预防.
背景情况:
- 证据支持在干净污染的头部和部手术中使用 ≤24小时的术后抗生素.
- 低风险的耳鼻喉科手术可能不会从抗生素预防中受益.
- 在手术环境中,抗生素管理至关重要.
研究的目的:
- 描述在低风险的头手术中使用抗生素.
- 评估对抗生素预防的机构指南的遵守情况.
- 评估不必要使用抗生素对结果的影响.
主要方法:
- 单中心,回顾性队列研究.
- 包括接受低风险,干净污染的头手术的患者.
- 分析了抗生素使用率和手术部位感染率.
主要成果:
- 在外科手术期间,29%的患者不必要服用抗生素.
- 在接受抗生素治疗的患者中,76%的患者进行了手术前和41%的患者进行了术后疗程 (平均7天).
- 两组之间没有观察到SSIs,死亡率或停留时间的显著差异.
结论:
- 强调对抗生素管理干预措施的需要.
- 强调管理团队和外科服务之间的合作的重要性.
- 建议对低风险手术的抗生素处方实践进行审查.
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